| NPI | 1316172588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARA PALLEN Credentialing Specialist 717-560-7917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: PA SW123702) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2009-05-18 |